Publication Search

Post-operative pain after upper extremity ORIF is complex, involving tissue damage, inflammation and nociceptive mechanisms that require a comprehensive pharmacological approach. The intensity of post-ORIF pain typically ranges from moderate to severe in the first 48-72 hours and can affect early mobilisation, respiratory function and the patient's physiological stress response. Research objective: To determine the pattern of analgesic use for pain management after upper extremity ORIF surgery under general anaesthesia at Pandan Arang Boyolali Hospital. Research Methods: This is a qualitative research with case study approach. Data was collected using quota sampling technique. The sample in this study amounted to 5 patients with inclusion criteria: upper extremity orthopaedic surgery patients who will undergo ORIF in the Central Surgical Installation of Pandan Arang Boyolali Hospital in April 2025, patients with general anaesthesia Laryngeal Mask Airway (LMA). Results: Based on the results of observations, it was found that the pattern of use of pharmacological pain management in patients after upper extremity ORIF surgery with general anaesthesia at Pandan Arang Boyolali Hospital was the administration of 100 mcg fentanyl and 4 mg ondansentrone dripped in 500 ml Tutofusin infusion for surgery with a duration of > 1 hour and a large incision area.

Total cholesterol and HDL assessments are fundamental initial steps in evaluating the risk of cardiovascular disease. The ratio between total cholesterol and HDL is considered a sensitive indicator in predicting atherosclerotic events. Screening activities were carried out using the Plan-Do-Check-Act (PDCA) approach in adult participants. The examination was carried out using the Point-of-Care Testing (POCT) tool to assess total cholesterol and HDL levels from blood samples. Education was provided through leaflets containing information about lipid profiles and the importance of dietary changes. A total of 62 participants took part in this activity, with an age range of 23 to 76 years and the majority were female. Most participants had total cholesterol levels in the normal category, but almost all participants had HDL levels that were classified as low or very low. This lipid profile imbalance indicates a significant potential cardiovascular risk. The screening results underscore the need for continuous education on healthy dietary habits as a primary prevention strategy. Nutritional interventions emphasizing reduced intake of saturated fats, increased fiber consumption, and controlled sugar intake can help restore lipid balance and reduce the risk of atherosclerosis and long-term cardiovascular complications.

This study aims to determine how nano chitosan is produced through the ionic gelation method. The process of making nano chitosan is carried out using variations in chitosan concentrations of 1%, 5%, and 10%, and using a magnetic stirrer. Morphological tests were carried out using Scanning Electron Microscopy (SEM) to observe the shape and size of the particles formed. The addition of TPP (Trisodium Tripolyphosphate) as a crosslinker and certain surfactants are used to increase particle stability. Treatment for ±2 hours showed optimal results in terms of a more homogeneous particle size distribution. Based on the results of SEM observations, it is known that increasing the concentration and time settings and the use of appropriate surfactants can reduce wrinkles in nano chitosan particles. The particle size obtained is in the range of 278–350 nm. Thus, the ionic gelation method has proven effective in producing uniform nano chitosan and has good morphology for further applications.

Hemoglobin and hematocrit levels are fundamental hematological screening parameters that are relevant for identifying potential erythropoiesis disorders. An imbalance in these two parameters often reflects undiagnosed anemia, especially in adults and the elderly. The activity was carried out at the Cengkareng Baptist Foundation using the Plan–Do–Check–Act (PDCA) approach. The examination was carried out using the capillary method based on Point-of-Care Testing (POCT). Nutrition education was provided using leaflets containing information about the importance of micronutrients for blood formation. A total of 62 participants took part in this activity, with an age range of 23–76 years. Most participants were female (74.2%). Hemoglobin values ​​ranged from 7.4 to 17.3 g/dL, with a median of 11.9 g/dL. A total of 64.5% of participants had anemia. Hematocrit values ​​ranged from 22.0 to 51.0%, with a median of 35.0%. The high prevalence of anemia identified through this screening underscores the importance of preventive efforts through targeted nutritional education. Emphasis should be placed on the adequate intake of iron, vitamin B12, and folate to promote behavior change and reduce anemia risk in the community.

Red roses (Rosa damascena Mill.) are known to contain active compounds such as flavonoids, tannins, and vitamin C, which have potential antioxidant and anti-inflammatory properties. However, the utilization of rose flower waste after extraction remains limited. This study aims to formulate and evaluate gel preparations based on red rose extract and post-extraction rose flower waste as an innovation in natural-based topical formulations. This research is an experimental laboratory study using a post-test only design. Three concentration variations were formulated for both the extract (F1, F2, F3) and rose flower waste (F4, F5, F6) using HPMC as the gel base. Physical evaluations included organoleptic testing, homogeneity, pH, adhesion, spreadability, and viscosity. Data were analyzed descriptively and statistically using the Kruskal–Wallis test to determine the effect of concentration variation on physical parameters. All formulations showed good organoleptic and homogeneity results. The pH values were within the safe range for skin (4.75–5.92). Adhesion times met the criteria of >1 second, with a tendency to increase alongside higher concentrations of active ingredients. Spreadability fell within the acceptable range (3–5 cm), decreasing as viscosity increased. The viscosity values ranged from 20,150 to 20,182 cps. There was a significant effect of concentration variation on pH (p < 0.05), adhesion in extract-based gels (p = 0.021), and spreadability in waste-based gels (p = 0.024). In conclusion, gel preparations made from red rose extract and its waste can be successfully formulated with good physical stability and meet standard criteria for topical formulations. Rose flower waste has potential as an alternative active ingredient in the development of natural-based gel products.

Background: The global energy transition requires low-carbon solutions that can be integrated into existing thermal systems without drastic infrastructure changes. Hydrogen blending in conventional combustion systems has emerged as a promising pathway to reduce carbon emissions while maintaining operational flexibility. Objective: This study aims to experimentally evaluate the effect of hydrogen blending ratios (0–100% by volume) on thermal efficiency, CO₂ emissions, and NOx emissions, and to determine the optimal blending range based on technical and economic feasibility. Methods: An experimental thermal system prototype was developed and tested under controlled conditions with three repetitions per operating point. Performance parameters included combustion temperature, fuel consumption rate, and thermal efficiency, while emissions of CO₂ and NOx were measured using a calibrated gas analyzer. Data were analyzed using descriptive statistics, one-way ANOVA at a 0.05 significance level, confidence interval estimation, and linear regression to examine the relationship between hydrogen fraction and emission reduction. Results: The findings indicate that increasing hydrogen fraction significantly improves thermal efficiency, reaching 87.5% at 100% hydrogen, while CO₂ emissions decrease linearly to zero. However, NOx emissions increase with higher hydrogen content due to elevated combustion temperatures. Statistical analysis confirms that hydrogen ratio has a significant effect on efficiency and emissions, with a strong linear correlation between hydrogen fraction and CO₂ reduction. A blending range of 40–60% hydrogen provides the most balanced performance in terms of efficiency improvement, emission reduction, and cost feasibility.

Rice husk ash (RHA) is an agricultural waste rich in silica with potential as a partial cement substitute in mortar to support sustainable construction. This study evaluates the effect of varying RHA content on the compressive strength and porosity of mortar at 28 and 240 days of age. Mortar was prepared with RHA substitutions of 0%, 10%, 20%, and 30% by cement weight. Compressive strength was tested according to SK SNI 03-2834-2000, while porosity testing followed ASTM C642 standard. The results showed that 20% RHA substitution provided high compressive strength with acceptable porosity. In contrast, 30% RHA significantly increased porosity and sharply reduced compressive strength. These findings suggest that using RHA in the range of 10–20% can improve material efficiency without compromising mechanical performance. The study supports the development of environmentally friendly construction materials through the optimal use of agricultural waste.

Indonesia has quite large wind energy resources spread across various regions, so it has the potential to be developed into PLTB. Energy needs in Indonesia continue to increase and the government is committed to utilizing new, renewable energy to achieve emission reduction targets. However, efforts to utilize wind energy are still not optimal due to several reasons, especially research and research capabilities related to PLTB. The blade is the main component in the wind turbine system and is the system that first receives the wind and then converts it into mechanical energy. This research aims to determine the performance and manufacture tapperless type wind turbine blades with NREL's S822 airfoil using Qblade and Solidworks software. The design and simulation results show that the resulting blade has a blade radius of 1 meter, a blade or chord width of 0.12 m. The twist angle from the base to the tip of the blade ranges from 11.69º to 5.05º and a power of 500 W is obtained at a rotational speed of 262 rpm.

Deviant and negative behavior that we often encounter in children aged 2, 3 to 5 years is also called aggressive behavior. This attitude tends to cause harm to others if this behavior has shown an attitude of hurting or physically attacking. Internal and external factors can be the cause of a child behaving aggressively. Therefore, aggressive behavior can be reduced using certain techniques or methods, one of which is the fading technique. The purpose of this study was to reduce aggressive behavior in early childhood using the fading technique. The research design used in this study was Single Subject Design (SSD) or research with a single subject. The data collection technique used in this study used the observation technique with behavioral tally recording. In the study, 10 intervention sessions were carried out for 7 days with the results of a low aggressiveness categorization with a total score of 54 in the range of 52.5 <X ≤ 67.5. So it can be concluded that there is effectiveness in implementing the fading technique in an effort to minimize aggressive behavior.

Intercondylar fractures of the femur are complex intra-articular injuries involving the medial and lateral condyles at the distal end of the femur bone, just above the knee joint. These injuries are commonly caused by high-energy trauma, such as motor vehicle accidents or falls from significant heights. This study presents a case report of a 23-year-old unemployed female patient. The assessment tools used included the Numeric Pain Rating Scale (NPRS) for evaluating pain intensity, a goniometer for measuring the range of motion (ROM), Manual Muscle Testing (MMT) for assessing muscle strength, and the Lysholm Knee Scoring Scale for evaluating functional activity. After three physiotherapy sessions conducted over three weeks, the patient demonstrated a reduction in pain, an improvement in muscle strength, an increased joint range of motion, and enhanced functional activity. A rehabilitation program consisting of Transcutaneous Electrical Nerve Stimulation (TENS), forced knee flexion with a quadriceps board, active knee flexion and extension exercises with a gym ball, stretching exercises, and active functional training was found to be effective in improving the patient's post-operative outcomes following malunion intercondylar femur fracture (right) post-ORIF.

The purpose of this study is to analyze the use of the Sumedang E-Office application in order to improve service quality using the User Experience Questionnaire (UEQ) [1]. This study uses the User Experience Questionnaire (UEQ) survey methodology, and this study also collects survey data and a sample size of 25 people. The data sources for this study are primary data and secondary data. The research stage begins by determining the formulation of the problem, analyzing needs, defining questions, identifying respondents, measuring UEQ, and finally drawing conclusions. The results of this study indicate that the quality of the Sumedang E-Office application service still needs to be improved. This is supported by the results of the benchmark graph which is on average in the red range, namely the bad range. Of the six dimensions or existing measurements, those that need to be updated or improved: attractiveness, accuracy, stimulation and novelty.    

Fungal infections, such as those caused by Curvularia, can interfere with the vegetative growth and reduce the quality of oil palm seedlings, particularly in the main nursery phase. One solution to improve resistance to pathogens and support vegetative growth is by applying the right foliar fertilizer. This study aimed to determine the effect of Kenfolan foliar fertilizer application on vegetative growth and the level of Curvularia infection in oil palm seedlings during the main nursery phase. The study used a Completely Randomized Design (CRD) with five treatments of Kenfolan fertilizer concentrations: 0 ml/L (P1), 1 ml/L (P2), 2 ml/L (P3), 3 ml/L (P4), and 4 ml/L (P5), each repeated three times. The parameters measured included seedling height, stem diameter, number of fronds, and the percentage of Curvularia infection. Data analysis was performed using ANOVA followed by Duncan’s Multiple Range Test (DMRT) at a 5% significance level. The results showed that treatment P4 (3 ml/L) provided the best vegetative growth, with seedling height reaching 40.07 cm, stem diameter of 1.58 cm, and an average of 4.25 fronds. Additionally, treatments P3 (2 ml/L) and P4 (3 ml/L) successfully suppressed Curvularia infection, with no infection found in these treatments. In contrast, treatment P1 (control) showed the highest infection level of 33%, while P5 (4 ml/L) increased the infection compared to P3 and P4. Based on the results, the application of Kenfolan foliar fertilizer at a dose of 3 ml/L (P4) was the most effective in improving vegetative growth and suppressing Curvularia infection in oil palm seedlings in the main nursery phase.

Hypertension is a major cause of heart failure, stroke and kidney failure. Prevalence of hypertension in Indonesia in the urban and rural areas ranged between 17-21%. Smoking is one cause that can affect blood pressure. The aim of this research is to discover the relationship between the smoking activity and hypertension on men aged 45 year-old and older in Klinik Pratama Cinangsih Medika Cianjur. This research is a correlative descriptive. The approach used cross-sectional with total samples were 98 respondents. The sampling technique used was purposive sampling. The instrument used in this study was questionnaire. Data was obtained through questionnaires distribution and interviews, and blood pressure measurement. The data collected was processed by using Chi-square statistical test with degree of significance p value < 0.05. The result showed 74 people (75,5%) smoked and those who suffered hypertension were 75 people (76,5%). From bivariate test result showed there is relationship between number of cigarettes taken and hypertension (p = 0,005), there is relationship between way of smoking and hypertension (p = 0,008), there was no relationship between smoking duration and hypertension (p = 0,059), there is relationship between type of cigarette and hypertension (p = 0,027), and there is relationship between the activity of smoking and hypertension (p = 0,007). Suggestions the researcher can propose concerning this research are to reduce hypertension risk as the effect of smoking, cigarette consuming should be decreased gradually to stop smoking in advance, the result of this research can be served as reference in dealing with patients suffering for hypertension, especially, in Cianjur. Keywords: Smoking activity (number of cigarette, way of smoking, smoking duration, sort of cigarette), Hypertension.  

The 2011 Tohoku tsunami stands as one of the most catastrophic natural disasters in Japan’s history, resulting in massive loss of life, extensive property damage, and severe disruption to infrastructure along the northeastern coast. This study aims to examine the physical characteristics of the Tohoku tsunami and critically evaluate the factors that led to the failure of Japan’s disaster mitigation systems. Utilizing an essay-based synthesis approach, this analysis draws from a range of previous research findings and post-disaster assessments. The tsunami was caused by a 9.0 magnitude megathrust earthquake off the eastern coast of Honshu, generating wave heights that exceeded 10 meters in several locations. The tsunami’s immense energy produced destructive currents that penetrated deep inland, surpassing the protection capabilities of existing coastal defenses.The study identifies several contributing factors to the mitigation system’s shortcomings: the design limitations of seawalls, which were not built to withstand such extreme events; delays and limitations in the early warning system’s ability to reach all at-risk populations in time; and inadequate public preparedness, as the event exceeded historical precedents and training scenarios. These vulnerabilities highlight the need for integrated, adaptive disaster risk management strategies.Drawing lessons from Japan’s experience, this study proposes recommendations for improving tsunami mitigation efforts in Indonesia. Key suggestions include reinforcing and redesigning coastal defense structures, advancing early warning technologies such as seabed sensors and coastal radar systems, and enhancing disaster literacy through public education and scenario-based training. By adopting a science- and technology-driven approach, Indonesia can strengthen its resilience and reduce vulnerability among coastal populations facing future tsunami threats.

Oka Jamur Bali is one of the oyster mushroom cultivation farmers. Lack of efficiency in regulating temperature and humidity in mushroom barns is an important factor in the growth of mushroom fruiting bodies. This condition requires an innovative solution to regulate and monitor temperature and humidity in the barn area. This research aims to build a prototype using Arduino UNO, ESP32, DHT11, pump and Internet of Things (IoT) technology.  The monitoring system design uses Arduino UNO, NodeMCU ESP32, DHT11 and DC pump with 12V voltage. Arduino UNO functions as a control system to manage and control the temperature and humidity parameters of the mushroom barn environment with the DHT11 sensor used to accurately measure temperature and humidity. The combination of NodeMCU ESP32 and Arduino UNO aims for monitoring through the ThingSpeak platform which can be accessed with a smartphone connected to the internet network. Based on the results of the prototype of the automatic temperature and humidity control system, the system is able to measure the environmental conditions of the mushroom barn with humidity measurement results in the range of 79% - 82% and the average temperature during the test reached 29.35°C. The application of the system was able to reduce the temperature by 2.28% with an average temperature of 28.19°C and increase the relative humidity by 6.27% with an average humidity of 81.1% in the mushroom barn area. The results of income between the income generated by using the automatic temperature and humidity control system tool and the income of farmers without using the tool increased by Rp. 16,416.

Biogas is an alternative energy source that is environmentally friendly, cheap, easy to obtain and renewable. In general, all types of organic materials can be processed to produce biogas, however only homogeneous organic materials (solid and liquid) such as manure and urine (urine) of livestock are suitable for a simple biogas system. Biogas can be burned like LPG and on a large scale can be used to generate electricity, so that biogas can be used as an alternative energy source that is environmentally friendly and renewable. To determine the performance of biogas as an alternative energy source, in this research the method used is to compare the performance of Biogas with LPG gas as a source of electrical energy. Analysis of trial data per minute (RPM), with varying load levels, shows that the RPM of generators using LPG only decreases slightly as the electrical load increases, which shows that the generator is able to maintain more consistent performance. The RPM produced by LPG, which ranges from 2358 to 2420 RPM, indicates that the engine is running faster and more efficiently, while biogas has a lower RPM, ranging from 1715 to 1820 RPM, which indicates slower operation. LPG efficiency ranges from 89.60% to 98.12%, while biogas efficiency ranges from 74.67% to 89.60%. Even though biogas shows less stable performance than LPG, biogas still has potential as an alternative fuel, especially in areas that have limited access to LPG but have abundant sources of biogas raw materials. The use of biogas can reduce dependence on fossil fuels and reduce greenhouse gas emissions. Even though LPG is more efficient, biogas has significant potential to be developed as a more environmentally friendly alternative energy source because LPG relies on non-renewable fossil fuels and has a negative impact on the environment in the long term.

Hypertension is a significant health issue as it serves as a major risk factor for various diseases, including heart disease, kidney failure, diabetes mellitus, and stroke. One pharmacological method that can help lower blood pressure is consuming boiled moringa leaf (Moringa oleifera) extract. This study aims to analyze the effects of consuming boiled moringa leaf extract on reducing blood pressure in individuals with hypertension in Sebauk Village, within the working area of Meskom Public Health Center, Bengkalis District. This study employed a case study method with a descriptive design. The research findings indicate that before consuming boiled moringa leaf extract, the systolic blood pressure of the respondents ranged from 145 mmHg to 165 mmHg, with an average of 152.81 mmHg. Meanwhile, the diastolic blood pressure ranged from 90 mmHg to 120 mmHg, with an average of 96.19 mmHg. After the administration of boiled moringa leaf extract, the systolic blood pressure of the respondents decreased, ranging from 130 mmHg to 160 mmHg, with an average of 138.44 mmHg. Additionally, the diastolic blood pressure dropped to a range of 80 mmHg to 100 mmHg, with an average of 85.31 mmHg. Based on these findings, it is recommended that Meskom Public Health Center educate the community about the risks of hypertension and its prevention and management, including consuming boiled moringa leaf extract as a natural alternative to help lower blood pressure.

Sectio caesarea is a surgical operation to help pregnant women give birth by making an incision in the abdominal wall (laparotomy) and uterus (hysterectomy). Non-pharmacology can be used together to relieve pain. Within 24 hours after a cesarean section, patients can feel a five-fold reduction in pain thanks to lavender aromatherapy. linalyl acetate, and linalool, which can have a calming effect. When lavender aromatherapy is inhaled, the compounds it contains trigger the hypothalamus to produce endorphins that can calm and soothe. the purpose of this study was to determine whether lavender aromatherapy can reduce the pain scale of post-Sectio Caesarea patients. This type of research is a one-shot case study,design with the application of Evidence Based Practice with 4 respondents. The intervention was carried out once a day for 2 consecutive days with a duration of 15 minutes. The results of this study showed a decrease in pain scores in the range of 2-0, so it can be concluded that the intervention of providing lavender aromatherapy can reduce the pain scale of post-Caesarean section patients. For post caesarean section patients they can apply lavender aromatherapy in pain management efforts.

Because breast milk contains a wide range of chemicals and protective elements that are essential for the growth and development of newborns and reduce infant morbidity and mortality, breast milk is the healthiest nutrient for babies. With hundreds of bioactive chemicals that can protect babies from disease and aid in the development of the ideal immune sistem, its composition is very comprehensive and complex. The purpose of this study is to find out how much motivation postpartum mothers at pujon Health Center, Central Kalimantan are to breastfeed after receiving information about exclusive breastfeeding. Quantitative research with a quasi experimental design using pretest and posttest with uneven control groups is the research methodology used. Both pretest and posttest are given before and after the intervention. WHO or UNICEF nursing observation sheets, lactation method films, and questionnaires are the tools used. Data analysis was carried out using the Mann Whitney bivariate test and the univariate test for education, parity, and knowledge. 

This research examines the effectiveness of Barium Ferrite and PANI/Fe₃O₄ composite as Radar Absorbing Material (RAM) to reduce radar detection. Barium Ferrite has high absorption at high frequencies as well as good thermal stability, making it suitable for applications under extreme and long-term conditions. In contrast, PANI/Fe₃O₄ composites exhibit high flexibility, the ability to absorb waves over a wider frequency range, as well as light weight, ideal for requirements with lightweight materials, such as aircraft. The analysis shows that the selection of RAM depends on the application requirements regarding frequency range and thermal stability. This study recommends the development of composite materials that combine the advantages of both materials as well as field tests to ensure optimal performance in stealth applications.